Individual
DELANEY BOUVIER BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3538 OLD MILTON PKWY, ALPHARETTA, GA 30005-4459
(678) 395-3269
Mailing address
1230 MAYFIELD MANOR DR, ALPHARETTA, GA 30009-7100
(404) 667-9854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011915
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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